Active NPI
Jessica Pearl Spencer Bond, MA, ATC
- Athletic Trainer
- Galloway, NJ
National Provider Identifier
1538428263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00117800
- Practice address
- 101 Vera King Farris Dr
Office of Athletics and Recreation, Room 309
Galloway, NJ 08205-9441 - Phone
- (609) 652-4544
- Fax
- (609) 652-4709
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00117800 | NJ | Primary |
Addresses
Primary practice location
101 Vera King Farris Dr
Office of Athletics and Recreation, Room 309
Galloway, NJ 08205-9441
Mailing address
33 Amy Lane
Absecon, NJ 08201
Phone (609) 602-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00117800 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1538428263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 AMY LANE",
"city": "ABSECON",
"state": "NJ",
"postal_code": "08201",
"telephone_number": "609-602-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 VERA KING FARRIS DR",
"address_2": "OFFICE OF ATHLETICS AND RECREATION, ROOM 309",
"city": "GALLOWAY",
"state": "NJ",
"postal_code": "082059441",
"telephone_number": "609-652-4544",
"fax_number": "609-652-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER BOND",
"first_name": "JESSICA",
"middle_name": "PEARL",
"name_prefix": "Mrs.",
"credential": "MA, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00117800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galloway, NJ
- South Jersey Brain and Spine Surgery, LLC
- South Jersey Home Medical
- South Jersey Pain Management
- Marianne Sparacia
- Evelyn M Speiser, PT
- Howard J Sperling, MD
- Michael James Sperling, M.D.
- Spring Home Operations LLC (Spring Home at Galloway)
- Spring Home Operations LLC (Spring Home at Galloway)
- Monica Spurlock, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.